Development of The Health Promotion Program for Teen Mom’s Pregnant

Abstract

This research aims to: 1) examine the health status of pregnant teenage mothers attending antenatal care at public health service units; 2) develop a health promotion program for pregnant teenage mothers during pregnancy with family participation; and 3) propose guidelines for promoting health among pregnant teenage mothers through family involvement. The research employed a parallel mixed-method design, combining qualitative and action research approaches. Data were collected through literature review, field research, and in-depth interviews with pregnant teenage mothers, their families, obstetricians, nurses, public health officers, and village health volunteers (VHVs) in the area of Chai Nat Narenthorn Hospital, Chai Nat Province. Content analysis was used for data analysis.            

The findings are concluded as follows:

1. The health status of pregnant teenage mothers is complex across four dimensions: physical health, characterized by lack of knowledge and inappropriate self-care behaviors; emotional health, with high stress and anxiety especially during early pregnancy; social health, as teenage mothers face stigma and social role limitations; and mental health, where spiritual support enhances effective adaptation.

2. The developed health promotion program should be systematically designed, taking into account community context and the knowledge level of teenage mothers. The content should be easily understandable and use diverse media. Activities should emphasize family participation, with ongoing follow-up supported by mentors and public health officers.

3. Effective health promotion guidelines should include educating teenage parents through creative activities, changing social attitudes via public media, supporting resources alongside participatory conditions, and providing platforms for teenage mothers and their families to voice their opinions at policy levels, thereby fostering understanding and support across all health dimensions.